The Centers for Medicare & Medicaid Services (CMS) today released the final annual Notice of Benefit and Payment Parameters for the 2020 benefit year, also known as the 2020 Payment Notice. The rule reduces user fees for plans offered on HealthCare.gov, and encourages the use of lower-cost generic drugs, while improving market stability and consumer choice.
Today, the Centers for Medicare & Medicaid Services (CMS) issued the final rule, “Patient Protection and Affordable Care Act; Methodology for the HHS-operated Permanent Risk Adjustment Program for 2018.”
Today’s notice of proposed rulemaking, “Patient Protection and Affordable Care Act; Methodology for the HHS-operated Permanent Risk Adjustment Program for 2018 Proposed Rule,” proposes to adopt the risk adjustment methodology that HHS previously established for the 2018 benefit year which uses the statewide average premium in the payment transfer formula.
On February 28, 2018, the United States District Court for the District of New Mexico issued a decision invalidating use of the statewide average premium by the Center for Medicare & Medicaid Services (CMS) in the risk adjustment transfer formula established under section 1343 of the Patient Protection and Affordable Care Act for the 2014 – 2018 benefit years, pending further explanation of CMS’s reasons for operating the program in a budget neutral manner in those years.
On April 27, 2018, the Centers for Medicare & Medicaid Services issued a rule proposing updates for fiscal year 2019 to Medicare payment policies and rates for the Inpatient Psychiatric Facilities Prospective Payment System and the IPF Quality Reporting Program.
On April 27, 2018, the Centers for Medicare & Medicaid Services issued a proposed rule (CMS-1692-P) that would update fiscal year 2019 Medicare payment rates and the wage index for hospices serving Medicare beneficiaries.
A new report released today by the U.S. Department of Health and Human Services (HHS) shows that more than 11.5 million people nationwide were signed up for Health Insurance Marketplace coverage as of December 24, 2016, an increase of 286,000 plan selections relative to the comparable period last year.
In 2015, per-capita health care spending grew by 5.0 percent and overall health spending grew by 5.8 percent, according to a study by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) published today as a Web First by Health Affairs.